Organization
CRYSTAL NURSING REHABILITATION, LLC
Active
Other names
Centennial Gardens for Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHRAM MORDY LAHASKY (PRESIDENT/MANAGER)
(646) 772-3668
Entity
Organization
Contact information
Practice address
3245 VERA CRUZ AVE N, CRYSTAL, MN 55422-2708
(763) 971-6300
(763) 971-6328
Mailing address
3245 VERA CRUZ AVE N, CRYSTAL, MN 55422-2708
(763) 971-6300
(763) 971-6328
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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